治五噎五膈,胸中久寒,诸气结聚,呕逆噎塞,食饮不化,结气不消。常服宽
气通噎,宽中进食。
白术 茯苓(各半两) 木通 当归 橘皮 青皮 大腹子 大腹皮 槟榔 芍药(各一两)
甘草(炙,一两半 白芷(三两) 紫苏叶(四两) 枳壳(麸炒去瓤取,三两)
上为末。每服二钱,水一盏,姜三片,枣一枚,煎七分,空腹温服。
治中满下虚,五噎五膈,脾胃不和,胸膈痞闷,胁肋胀满,心腹刺痛,不思饮
食,如中焦虚痞,不任攻击,脏腑虚寒,不受峻补;或因病气衰,不复常,禀受怯弱,不能
多食,尤宜服之。
枇杷叶(去毛,姜汁涂炙) 薏苡仁(微炒) 缩砂仁 人参 茯苓(各一两) 石斛(细锉,
用酒拌和,微炒) 大腹子(微炒) 沉香 木香 藿香 杜仲(去皮,姜酒涂炙微焦) 随风
子(如无,陈紧小诃子代,各三分) 谷 (微炒) 白豆蔻 五味子(微炒) 桑白皮 丁香 槟
榔青皮(各半两) 半夏饼(炙黄) 神曲(各一分) 甘草(炙,两半) 陈皮(三分) 白术(炒,二两)
上为末。每服二钱,水一盏,生姜三片,枣三枚,煎至七分,温服,不计时。五噎,入
干柿一枚同煎,十服见效;膈气吐逆,羸困,入薤白三寸、枣五枚同煎。
[Chenxiang San (Agarwood Powder)]
Indications: Treats the five types of Yi (dysphagia: Qi, Blood, Sinew, Flesh, and Grain) and Wu Ge (five types of chest obstruction), chronic cold in the chest, aggregation of various stagnant Qi, vomiting with regurgitation, sensation of blockage in the throat, inability to digest food and drink, and unresolved Qi stagnation masses. Regular consumption can broaden the Qi flow, relieve dysphagia, soothe the Middle Jiao, and promote appetite.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) (each 0.5 liang); Mutong (Akebiae Caulis), Danggui (Angelicae Sinensis Radix), Ju Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride), Dafuzi (Arecae Seed), Dafupi (Arecae Pericarpium), Binglang (Arecae Semen), Shaoyao (Paeoniae Radix Alba) (each 1 liang); Gancao (Licorice Root, honey-fried or roasted) (1.5 liang); Baizhi (Angelicae Dahuricae Radix) (3 liang); Zisu Ye (Perilla Leaf) (4 liang); Zhike (Aurantii Fructus Immaturus, stir-baked with bran, pith removed) (3 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian per dose, add 1 Jian of water, 3 slices of Shengjiang (Fresh Ginger), and 1 Zao (Jujube). Decoct until reduced to 70% of the original volume. Take warm on an empty stomach.
[Jiahe San (Harmonizing Rice Powder)]
Indications: Treats fullness in the Middle Jiao accompanied by deficiency in the Lower Jiao, the five types of Yi and Wu Ge, disharmony between the Spleen and Stomach, stifling oppression and distension in the chest and diaphragm, distension in the hypochondrium and ribs, stabbing pain in the heart and abdomen, lack of desire for fluids and food. It is suitable for cases resembling Middle Jiao deficiency-type痞满 (stifling-fullness) that cannot tolerate harsh attacking methods; or when disease has depleted vital Qi, causing deviation from normal state, congenital weakness, and inability to consume large amounts of food. This formula is particularly appropriate for such conditions.
Ingredients: Pipaye (Loquat Leaf, hair removed, coated with ginger juice and roasted), Yiyiren (Coicis Semen, lightly stir-baked), Suosharen (Amomi Fructus), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria) (each 1 liang); Shihu (Dendrobii Caulis, finely cut, mixed with wine and lightly stir-baked), Dafuzi (Arecae Seed, lightly stir-baked), Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Huoxiang (Pogostemonis Herba), Duzhong (Eucommiae Cortex, bark removed, coated with ginger-wine and roasted until slightly scorched), Suifengzi (Semen Cinnamomi or substitute with aged, tight, small Hezi [Chebulae Fructus] if unavailable) (each 3 fen); Gu (likely referring to Gu Ya or similar grain sprout, lightly stir-baked), Baidoukou (Cardamomi Alati Fructus), Wweizi (Schisandrae Chinensis Fructus, lightly stir-baked), Sangbaipi (Mori Cortex), Dingxiang (Caryophylli Flos), Binglang (Arecae Semen), Qing Pi (Citri Reticulatae Pericarpium Viride) (each 0.5 liang); Banxia Bing (Pinelliae Tuber prepared as cake, roasted yellow), Shenqu (Massa Medicata Fermentata) (each 1 fen); Gancao (Licorice Root, roasted) (1.5 liang), Chenpi (Citri Reticulatae Pericarpium) (3 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried) (2 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian per dose, add 1 Jian of water, 3 slices of Shengjiang (Fresh Ginger), and 3 Zao (Jujube). Decoct until reduced to 70% of the original volume. Take warm, without restriction on timing. For Yi syndrome, add 1 dried persimmon (Gan Shi) and decoct together; efficacy is expected after ten doses. For Ge Qi syndrome with vomiting and regurgitation, emaciation, and fatigue, add 3 cun of Xiebai (Allii Macrostemonis Bulbus) and 5 Zao (Jujube) and decoct together.